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IVANCIC PEDIATRIC CLINIC PA
NPI 1942606256
Clinic/Center - Primary Care in Tupelo, MS

Active since November 13, 2014
499 GLOSTER CREEK VLG, SUITE H-3, TUPELO, MS 38801(662) 840-6026(662) 840-6030 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivancic Pediatric Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVANCIC PEDIATRIC CLINIC PA (NPI 1942606256) is a healthcare organization registered as a primary care in Tupelo, Mississippi and active in the NPI registry since November 2014. The organization lists Mitzi Parsons, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1942606256
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameIVANCIC PEDIATRIC CLINIC PA
Location Address499 GLOSTER CREEK VLG, SUITE H-3Tupelo, MS 38801-4600
Mailing Address499 Gloster Creek Vlg, Suite H-3Tupelo, MS 38801-4600 · (662) 840-6026 · Fax (662) 840-6030
Phone(662) 840-6026
Fax(662) 840-6030
Organization SubpartNo
Authorized OfficialMitzi ParsonsOffice Manager · (662) 840-6026
Enumeration DateNovember 13, 2014
Last NPPES UpdateJanuary 23, 2019
✔ NPI 1942606256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
499 GLOSTER CREEK VLG, Tupelo, MS 38801
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JON T POSEY MD
Urology
499 GLOSTER CREEK VLG, SUITE A1
TUPELO, MS 38801
Lee County (662) 377-7100
MILAN EDWARD IVANCIC MD
Pediatrics
499 GLOSTER CREEK VLG, SUITE H-3
TUPELO, MS 38801
Lee County (662) 840-6026
JANA LOUANN PETERSON NP
Nurse Practitioner (Family)
499 GLOSTER CREEK VLG, STE A2
TUPELO, MS 38801
Lee County (662) 620-6800
JENNIFER G. ESTOCK WHNP-BC, ANP-C
Nurse Practitioner
499 GLOSTER CREEK VLG, SUITE D-1
TUPELO, MS 38801
Lee County (662) 690-8007
JORDAN WARD LPN
Licensed Practical Nurse
499 GLOSTER CREEK VLG
TUPELO, MS 38801
Lee County (662) 844-1717
MR. MICHAEL H PETTIS LCSW
Social Worker (Clinical)
499 GLOSTER CREEK VLG, SUITE D-1
TUPELO, MS 38801
Lee County (662) 842-4651
MS. KATHERINE MCDUFFIE FNP
Nurse Practitioner
499 GLOSTER CREEK VLG, SUITE A-2
TUPELO, MS 38801
Lee County (662) 620-6800
ACCESS FAMILY HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
499 GLOSTER CREEK VLG, SUITE D-1
TUPELO, MS 38801
Lee County (662) 690-8007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivancic Pediatric Clinic PA's NPI number?

The NPI number for Ivancic Pediatric Clinic PA is 1942606256. It was assigned to this organization in the NPPES registry on November 13, 2014.

Where is Ivancic Pediatric Clinic PA located?

Ivancic Pediatric Clinic PA is located at 499 Gloster Creek Vlg Suite H-3, Tupelo, MS 38801. The listed phone number is (662) 840-6026.

What is Ivancic Pediatric Clinic PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ivancic Pediatric Clinic PA was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.